NPI | 1568615292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8632) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN DS0000008818) |
1223G0001X Dentist, General Practice (Licence: IN 12011286A) | |
Enumeration Date | 2008-10-26 |
Last Update Date | 2013-01-25 |